| NPI | 1982930350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL H. FRAUWIRTH Owner 423-790-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-12-08 |